Loading...




Release of Liability and Assumption of Risk

Guam Sports Climbing Center & Guam Badminton Sports Center (GBSC)



AGREEMENT FOR ACKNOWLEDGMENT OF RISK FOR WAIVER, DISCLAIMER, AND RELEASE OF LIABILITY; NOT TO SUE; AND FOR INDEMNITY

 

I, ____________, on behalf of myself (or if signing on behalf of a child or children, on behalf of such child or children) and on behalf of my (or my minor's) heirs, personal representatives, spouse, next of kin, successors and assigns, hereby understand, acknowledge, and voluntarily agree with GBSC, its shareholders, members, owners, officers, directors, employees, agents, contractors, insurers and/or landlords, and each of their respective successors and assigns as follows:

Climbing is an inherently hazardous and dangerous activity and involves both inherent and extrinsic, and both natural and artificial risks that may result in all manner of harm, loss, damage, property damage, serious personal injuries, or death to me and/or others from, for example, (a) falls from the climbing surface onto the floor, rock surface, projections or other objects, (b) falling onto others present, (c) climbers or other objects (such as ropes, holds or hardware) falling onto me, (d) improper use, installation or maintenance of gear, equipment and/or apparatuses, (e) gear and equipment defects or malfunction, (f) failure to follow proper climbing and/or belay procedures, (g) improper or insufficient training, supervision and/or instruction, (h) rope abrasion and/or entanglement, (i) cuts and abrasions resulting from skin contact with the climbing wall, and (j) failure of ropes, slings, bolts, chains, climbing hardware, anchor points, or any part of the climbing wall

Structure. I fully and completely acknowledge that the above list and descriptions are not all of the risks associated with the use of and presence in GBSC and that the above list in no way limits the extent or scope of this agreement.

My presence in and use of the GBSC facilities is entirely voluntarily and with a complete and full understanding that any and all such usage, including, but not limited to climbing, is entirely voluntary and with a complete and full understanding that any and all such usage involves all manner of hazards and dangers. I assume all risks and responsibility for any harm, loss, damage, property damage, personal injury, or death to me or others resulting from, arising out of, or any way in relation to my use of or presence in GBSC's facilities, gear, equipment, climbing walls, and apparatuses.

I have an obligation and responsibility to myself, as well as to other users of GBSC to conduct myself in a safe manner. I will not use the GBSC facilities while under the influence of drugs or alcohol or while suffering from or experiencing any other condition that might impair me.

I am responsible for checking and ensuring the safety and safe operating condition of any and all equipment, gear, or apparel that I may utilize while present in or using GBSC regardless of where or from whom I may have obtained such equipment, gear, or apparel. I use and accept those items "as is" and use them at my own risk.

I hereby waive, release, and discharge forever, GBSC, from any and all liabilities, claims, demands, or causes of action whatsoever, for any harm, loss, damage, property damage, personal injuries, or death, due to any negligence, or

Any other cause (including, but not limited to the negligence of GBSC, its employees, contractors or agents, or otherwise) resulting from, arising out of, or in connection with my presence in or use of the gym.

I Agree
 November 21, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE! and  Rock Gym Pro